| NPI | 1649748211 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SEOK YOUN SHIN Owner 571-334-4513 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Additional Taxonomies | 333600000X Pharmacy |
| Enumeration Date | 2018-11-12 |
| Last Update Date | 2021-12-06 |